Courtney Strom
San Antonio,TX
Summary
Respected Revenue Cycle Specialist with experience in patient registration, prior authorization, reimbursement, maintaining medical charts and improving patient documentation. Excellent planning and problem-solving abilities. Prepared to bring 7 years of related experience to a dynamic position with room for career growth.
Overview
10
10
years of professional experience
Work History
Prior Authorization Specialist
Brooke Army Medical Center
09.2023 - Current
- Collaborated with 12 physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Reimbursement Specialist
MPOWER Health
07.2022 - 09.2023
- Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
- Ensured timely payment of claims by promptly addressing and resolving any discrepancies or issues with insurance providers.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Generated monthly billing and posting reports for management review.
- Reconciled accounts receivable to general ledger.
Reimbursement Specialist
Option Care Health
08.2019 - 07.2022
- Maintained comprehensive knowledge of healthcare billing practices, staying current on industry updates and changes in regulations.
- Contributed to increased team productivity by consistently exceeding 100% productivity goal.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Improved departmental accuracy through meticulous attention to detail while reviewing claims submissions.
- Conducted regular audits of 40 accounts a day, identifying areas where inconsistencies could be addressed to optimize efficiency within the department.
Patient Access Representative
Conifer Health Solutions
06.2018 - 07.2019
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
- Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
Application Support Technician
Maximus
04.2017 - 06.2018
- Implemented proactive measures to prevent recurring issues, reducing overall support ticket volume over time.
- Managed approximately 30 inbound calls while maintaining excellent call quality standards and adhering to established procedures.
- Provided timely assistance to customers via phone, email, and live chat channels, ensuring a high level of professionalism at all times.
- Enhanced client satisfaction by resolving complex issues through in-depth troubleshooting and effective communication.
Medical Office Specialist
Snore and Sleep Center
09.2014 - 07.2015
- Processed payments from patients promptly and accurately while answering any questions regarding their account balances or insurance coverage.
- Gathered forms and copied insurance cards to collect patient information for billing and insurance filing.
- Received, recorded and filed medical payments by check, cash, and credit card.
- Improved patient satisfaction by streamlining appointment scheduling and implementing efficient check-in procedures.
- Updated patient information and insurance details for accurate electronic medical records.
Education
Health Information Technology AAS -
St. Philips College
San Antonio05.2025
High School Diploma -
Judson High School
San Antonio06.2006
Skills
- Prior Authorization Process
- ICD-10 Coding Familiarity
- Medical Terminology
- Medical Appeals Handling
- Insurance Verification
- Medicare and Medicaid knowledge
- Electronic Health Records Proficiency
- HIPAA Compliance Knowledge
- Workflow Management
Phone
Mobile, 210-317-5631
Applications
- Citrix
- Cerner
- USMON
- Genesis
- EHRGo
Affiliations
- The National Society of Leadership and Success
Timeline
Prior Authorization Specialist
Brooke Army Medical Center
09.2023 - Current
Reimbursement Specialist
MPOWER Health
07.2022 - 09.2023
Reimbursement Specialist
Option Care Health
08.2019 - 07.2022
Patient Access Representative
Conifer Health Solutions
06.2018 - 07.2019
Application Support Technician
Maximus
04.2017 - 06.2018
Medical Office Specialist
Snore and Sleep Center
09.2014 - 07.2015
Health Information Technology AAS -
St. Philips College
High School Diploma -
Judson High School
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